Crescendo Behavioral Health LLC
Organization Active NPI Clinical Social Worker · Alta Dena, CA
NPI 1992486443 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1992486443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CRESCENDO BEHAVIORAL HEALTH LLC
- Practice address
- Wayne R. Wilson
70 West Terrace St
Alta Dena, CA 91001 - Phone
- (707) 797-0064
- NPI assigned
- Jul 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Wayne Doc R. Wilson, LCSW
- Title
- Director
- Phone
- (707) 797-0064
Practitioners 1
-
Wayne R. Wilson, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
Wayne R. Wilson
70 West Terrace St
Alta Dena, CA 91001
Mailing address
736 Bridge St Unit 11
Vernonia, OR 97064-1285
Phone (707) 797-0064
Other names
- Big Island Behavioral Health LLC
Other providers in Alta Dena, CA
All providers in Alta Dena, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.